The Podcasts of the Royal New Zealand College of Urgent Care

Intertrigo is a common presentation to urgent care.  Caused by rubbing skin in the presence of moisture it can be concurrent and complicated with bacterial and fungal infections.  Targeted, accurate treatment is best, but it is not always obvious which cause is present.   Check out the DermNet NZ page Check out the Stat Pearls page Nobles T, Syed HA, Miller RA. Intertrigo. [Updated 2024 Oct 28]. I...

While alternative, natural remedies for toothache seem effective, we must remember that they are not without their potential problems.     Check out the paper mentioned Reddy MS, Ramachandra SS, Shetty SR, Khazi SS, Ur Rahman Tippu MS, Narayanan LA, Shetty RM, Azim SA, Ramana VV, Al-Bayati SAAF, Razooki A, Fouad NN. Analgesic Efficacy of Phytotherapeutic Agents in Dental Pain Management: A Systema...

While a grand pipe organ has the capacity to pull out all the stops, it is not wise to play it in that state all the time.  Not unlike an urgent care clinician working at 100% for too long.   Check out the BMA article mentioned   Check out the video of Anna Lapwood playing the Royal Albert Hall's grand organ alongside Bonobo     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzc...

Head Injuries need a thorough and consistent workup in urgent care, which includes looking for signs of depressed skull fracture.     Check out the paper mentioned Bressan S, Tancredi D, Casper CT, Da Dalt L, Kuppermann N. Palpable signs of skull fractures on physical examination and depressed skull fractures or traumatic brain injuries on CT in children. Eur J Pediatr. 2024 Dec;183(12):5321-5330....

Join us in Auckland on September 18/19/20 for a weekend of education and celebration as we recognise 25 years of recognition of urgent care as a vocational medical speciality here in New Zealand - the first country in the world to do so. Get ticket details here     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from  www.premiumb...

Biliary type pain, usually in female patients who have had a cholecystectomy, could be Sphincter of Oddi Dysfunction.  A diagnosis worth keeping on our urgent care differential list.   Check out the Stat Pearls page Crittenden JP, Dattilo JB. Sphincter of Oddi Dysfunction. 2023 Feb 13. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. PMID: 32491794.   Check out th...

A study conducted in the paediatric ICU setting demonstrated the need to not only acknowledge a patient's emotion with an empathetic response but also the need to allow time and space for that response to be received, free of jargon and over speaking.  It is worth reflecting on how this can apply to the urgent care setting.     Check out the paper October TW, Dizon ZB, Arnold RM, Rosenberg AR. Cha...

Orthostatic hypotension is quite common and increases in prevalence as people age over 65.  It is also associated with conditions like type 2 diabetes and Parkinson's.  It is important that we consider it in patients presenting through urgent care.     Check out the papers mentioned McDonagh ST, Cross R, Masoli J, Konya J, Abel G, Sheppard JP, Jakubowski B, Bhanu C, Fordham J, Turner K, Lamb SE, P...

The Bennett Fracture, with two T's, is an intra-articular fracture of the base of the 1st metacarpal that requires referral to the orthopaedic surgeons.   Check out the Radiopaedia page by Bahman Rasuly Check out the Stat Pearls Page Carter KR, Nallamothu SV. Bennett Fracture. 2023 Aug 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. PMID: 29763211.     www.rnz...

Seeing a human and a rock communicate to save the world highlights how the right type of communication technique is needed, in the right setting, and at the right time, to ensure clarity and prevent error.     Check out Project Hail Mary   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from  www.premiumbeat.com Full Grip by Score...

The Essex-Lopresti Fracture is a radial head fracture with dislocation of the DRUJ, and an associated tearing of the IO membrane.  They are often missed and have delayed diagnoses.  With the right mechanism of injury we must carefully examine the forearm for not just pain, but also laxity.     Check out the paper mentioned Wegmann K, Dargel J, Burkhart KJ, Brüggemann GP, Müller LP. The Essex-Lopre...

Because Med School taught you medicine - not money. Dr Katherine Debray talks to us about her evidence based financial education designed for Kiwi doctors.  While on pause from NICU training to raise her children, Katherine has undertaken further study in financial advising and has created a course to guide doctors in ways to make decisions about their finances and developed a community of doctors...

Adult onset Still Disease is a rare condition that presents with intermittent high fevers, arthralgia and a salmon pink rash.     Check out the Stat Pearls page. Bhargava J, Panginikkod S. Still Disease. 2024 Feb 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. PMID: 30855928.  Link   Check out the Dermnet Page   Check out the Conversation article mentioned  ...

In cases of Fournier's Gangrene, and necrotising fasciitis in general, early detection and treatment is vital.  Risk factors help raise the concern and knowing about SGLT-2 inhibitors as an evolving risk factor is important.   Check out the Prescriber Update Check out the Dermnet page by Singh Check out the Stat Pearls page Wallace HA, Perera TB. Necrotizing Fasciitis. 2023 Feb 21. In: StatPearls...

Pica is an eating disorder that can cause abdominal symptoms, obstruction, poisoning, parasitic infections and is associated with iron deficiency anaemia.  We should be aware of it in the urgent care setting.   Check out the papers mentioned Mohammad Rizwan Hussain, Philip Holcroft, Mohammed Tayab Qureshi, EP467 - Bowel obstruction due to colonic lithobezoar in a patient with PICA, BJS, Volume 111...

For the 300th Urgent Bite, we reflect on lessons learned from seven and a half years of podcasting.     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from  www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please...

The Kager fat pad is seen in lateral radiographs of the ankle, and the loss or alteration of this pad can indicate injury or pathology in that region.     Check out the paper mentioned Somford MP, Hoornenborg D, Wiegerinck JJ. Kager's "Bermuda" Triangle. J Foot Ankle Surg. 2014 Jul-Aug;53(4):503-4. doi: 10.1053/j.jfas.2014.02.002. Epub 2014 Apr 17. Erratum in: J Foot Ankle Surg. 2014 Sep-Oct;53(5)...

Martha's Rule is an important new initiative in the NHS England that aims to ensure that patient, family and caregiver concern for deterioration is heard and acted upon.  This is because evidence shows that these groups recognise deterioration earlier, and there are cases, as with Martha Mills, where these concerns are not acted upon quickly enough to prevent harm, or even death.  We should all re...

The Barton fracture is an eponymous fracture of the distal radius.  While perhaps a name less used compared to the Colles, it is still an important injury to recognise and refer to orthopaedics.    Check out the Stat Pearls Page Szymanski JA, Reeves RA, Taqi M, et al. Barton Fracture. [Updated 2023 May 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.  Check o...

There is a webinar coming up on March 25 at 1900 NZDT on the topic of Maternal Sepsis.   Check out the Webinar via this link   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from  www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health...

If we suspect a subcutaneous foreign body, we need to know where it is, what it is and how long it has been there.  This requires a good history, a thorough examination and appropriate imaging.  With this information, we can plan the best way to remove, which might involve referral.     Check out the paper mentioned from the American Family Physician Chan C, Salam GA. Splinter removal. Am Fam Phys...

The hook of hamate fracture is often a delayed diagnosis.  There are certain mechanism of injuries, usually sporting related, that should make us be more aware of this injury.   The pull test may also help you consider this diagnosis .   Wright TW, Moser MW, Sahajpal DT. Hook of hamate pull test. J Hand Surg Am. 2010 Nov;35(11):1887-9. doi: 10.1016/j.jhsa.2010.08.024. Epub 2010 Oct 20. PMID: 20961...

Pompholyx, also known as dyshidrotic eczema, is a condition that might present through urgent care. Check out the Dermnet NZ page by Maitreyi Jain and Hon Associate Professor Paul Jarrett   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from  www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ong...

New national antibiotic guidelines have been launched in New Zealand to help guide our prescribing and improve antibiotic stewardship.  Check out the guidelines - https://tewhatakura.nz/   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from  www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongo...

Dr Emily Amos is a GP who founded Whole Hearted Medicine following an episode of career burnout.  This company provides CPD retreats with a focus on wellbeing education.   This has been endorsed as a CPD activity for RNZCUC members.     Check out what Whole Hearted Medicine has to offer   Check out the CPD retreats   Read about some of the evidence related to this area   Connect with Emily on Link...